ArticleKidney international reports2020
Systematic Review of the Association Between Worsening Renal Function and Mortality in Patients With Acute Decompensated Heart Failure.
Article in Kidney international reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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Who cites it
20 citing papers in PubMed.
- Efficacy of combining acetazolamide with loop diuretics versus double dose loop diuretics for decongestion in patients with chronic kidney disease: a randomized controlled trial.Scientific reports · 2026Article
- Acute Kidney Injury in Acute Heart Failure Revisited: Marker of Cardiorenal Disease Severity Rather Than Isolated Renal Injury.Life (Basel, Switzerland) · 2026Review
- Precipitants of Acute Heart Failure: A State-of-the-art Review from an International Expert Group.Cardiac failure review · 2026Review
- Worsening Renal Function in Acute Heart Failure: Not Always Harmful.Current heart failure reports · 2025Review
- Probing the Limits of Permissive Hypercreatininemia during Decongestion in Patients with Heart Failure.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Relationship between clinical congestion and worsening renal function after intravenous initiation of furosemide in patients with acute heart failure.Internal and emergency medicine · 2025Article
- Renal Dysfunction Across the Spectrum of Cardiogenic Shock: Mechanisms, Clinical Implications, and Therapeutic Strategies.Current heart failure reports · 2025Review
- Effects of Worsening Renal Function and Changes in Blood Urea Nitrogen Level During Hospitalization on Clinical Outcome in Patients with Acute Decompensated Heart Failure.Biomedicines · 2025Article
- Mechanisms of Congestion in Acute Decompensated Heart Failure.Cardiorenal medicine · 2025Review
- Comparative analysis of prognostic assessment in hospitalized heart failure patients: a comprehensive evaluation of KDIGO and WRF classifications.Frontiers in cardiovascular medicine · 2025Article
- Acute kidney injury in acute heart failure-when to worry and when not to worry?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024Review
- Central Venous Pressure and Impaired Renal Function in Children and Young Adults With Cardiovascular Disease.JACC. Advances · 2024Article
- Kidney and heart failure events are bidirectionally associated in patients with type 2 diabetes and cardiovascular disease.ESC heart failure · 2024Article
- Assessment and management of heart failure in patients with chronic kidney disease.Heart failure reviews · 2024Review
- Diuretic dose is a strong prognostic factor in ambulatory patients awaiting heart transplantation.ESC heart failure · 2023Article
- Impact of the degree of worsening renal function and B-type natriuretic peptide on the prognosis of patients with acute heart failure.Frontiers in cardiovascular medicine · 2023Article
- Characteristics and outcomes of patients admitted for acute heart failure in a single-centre study.ESC heart failure · 2022Article
- Effect of carperitide on the 1 year prognosis of patients with acute decompensated heart failure.ESC heart failure · 2022Article
- How to interpret serum creatinine increases during decongestion.Frontiers in cardiovascular medicine · 2022Review
- Management of Heart Failure Patient with CKD.Clinical journal of the American Society of Nephrology : CJASN · 2021Review
Corrections and comments
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Authors and funding
20 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOutcomes in acute decompensated heart failure (ADHF) have remained poor. Worsening renal function (WRF) is common among patients with ADHF. However, the impact of WRF on the prognosis is controversial. We hypothesized that in patients with ADHF, the achievement of concomitant decongestion would diminish the signal for harm associated with WRF.
methodsWe performed a systematic search of PubMed, EMBASE, and the Cochrane Library up to December 2019 for studies that assessed signs of decongestion in patients with WRF during ADHF admission. The primary outcome was all-cause mortality and heart transplantation.
resultsThirteen studies were selected with a pooled population of 8138 patients. During the follow-up period of 60-450 days, 19.2% of patients died. Unstratified, patients with WRF versus no WRF had a higher risk for mortality (odds ratio [OR], 1.71 [95% confidence interval {CI}, 1.45-2.01];
conclusionsDecongestion is a powerful effect modifier that attenuates harmful associations of WRF with mortality. Future studies should not assess WRF as an endpoint without concomitant assessment of achieved volume status.
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